Critique: - Probably should have noticed the chair fallen over and got a tip off to what happened. - Should have palpated C-Spine - ABC's evident when he came too and began speaking. Obviously no airway obstruction, and the jaw thrust seemed strange to do on someone who was just speaking to you. - Didn't check for bilateral inflation in chest - Abdomen and hips (and the Trauma checkin general ) seemed to be more of a pat down than an examination. - Non-life threatening leg wound #LeaveItAlone - SAMPLE - okay. Didn't ask the patient if anything else was hurting him or how the leg was feeling. - VITALS: LOA, pulse, respiration, blood pressure, pupils, skin condition, auscultating lungs. - Cervical Collar - Log Roll to backboard - THEN BANDAGE THE LEG. - Wait for transport while monitoring vitals.
@kev9183
9 жыл бұрын
beautiful
@davidheinrich5594
7 жыл бұрын
I'd add, that the usage of the spineboard is predestined for 3 People, nobody moves the shoulderbelt, so the back is compressed by just moving the hips.
@michellemachin3951
6 жыл бұрын
Critique Probably should have noticed the chair fallen over and got off to what happened. Should have
@nellyj4181
5 жыл бұрын
+Nico DiPlacido Not certain about the points made but ,if anyone else needs to find out about emt practice exams try Nadazma Paramedic Helper (just google it ) ? Ive heard some extraordinary things about it and my work buddy got great results with it.
@lindacarter4543
5 жыл бұрын
He did good...contained his nerves, and kept his thinking clear ;)
@bethroiger8721
2 жыл бұрын
You are going a good job
@FoxgamingFX
7 жыл бұрын
That was pretty solid for a trauma assessment.. I would just only add since the patient was going through hypoperfusion, I would do an ongoing assessment of every 5 min till we get to ED
@ladonna808
10 жыл бұрын
Guy did a good job.
@shaunleverett2796
10 жыл бұрын
Helped me. Clear and precise. Thanks.
@lonelyglader8154
4 жыл бұрын
I know this comment was 6 years ago but I hope you now know that this isn’t totally accurate😅
@socompimp08
10 жыл бұрын
Thank you so much for the video! It helped a lot.
@LaurieBolin
9 жыл бұрын
Thanks for the video!!! I am an EMT student and watched this video several times!!!!
@shanikdorsey8306
5 жыл бұрын
Laurie Bolin how did you do on the practical? I'm a emt student right now. I take my test Dec 19th. I'm nervous
@brandtscholar1519
3 жыл бұрын
@@shanikdorsey8306 how did it go?
@tsizemore1982
10 жыл бұрын
Nicely done!
@TheKillerofhipies
8 жыл бұрын
Great vid!!
@joeyrousselle6086
9 жыл бұрын
thanks for the help
@LOVFIL
9 жыл бұрын
Excellent job! Lucky Pt. LoL
@ashleyandrews2591
9 жыл бұрын
Other than that he did a great performance of helping this patient.
@docfakhra
10 жыл бұрын
quite realistic! :)
@kennakate7870
10 жыл бұрын
NEVER address secondary woulds before loading the patient. this is a trauma patient (load and go). the key word here is "Venous" bleeding, non life threatening injuries should be dealt with in the ambulance en route to the hospital. hope this helps :)
@functionfirst7355
9 жыл бұрын
Venous bleeds can certainly be life threatening.
@PeterNichtlustig0815
7 жыл бұрын
Load and go is bullshit here!
@walkerdunson666
10 жыл бұрын
Missed some stuff. Why on your blood sweep did you do the arms before the legs? Also, why did you combine the primary and secondary assessments??? Here are some things to remember never release c spine until patient is fully secured to the long spine board and Venus bleeding such as that should get a pressure bandage after being packed with an hemostatic agent or kerlix.... US ARMY critical care flight paramedic...
@tylernewcomb4509
6 жыл бұрын
Can't answer for anything else, but the during a blood sweep I was always taught to go head to toe, no exceptions, so that you don't get out of order. If you go head, neck , torso, abdomen, patient's right then left arm, patient's right then left leg, you'll memorize the routine and never miss a thing.
@coolkids6637
5 жыл бұрын
Misse some stuff. Why on
@coolkids6637
5 жыл бұрын
Blood sweep
@coolkids6637
5 жыл бұрын
You combine the prinary and secdary assesment???
@coolkids6637
5 жыл бұрын
Here are some
@Hardcore_Ant
3 жыл бұрын
Who's conducting the training?
@jordanross6286
3 жыл бұрын
Nice Job, although I would probably have gotten the collar on sooner.
@ricokumalie6289
9 жыл бұрын
food for thought. . . . . .would you not first check the SATS before applying a non rebreather mask at 15 L/min?
@gemma.armarego
9 жыл бұрын
Definitely should have checked O2 sats. Supplementary oxygen shouldn't be given without clear indication.
@Chris-su2gf
9 жыл бұрын
GemAndKiraMusic giving someone O2 isn't going to kill them if they don't need it.
@gemma.armarego
9 жыл бұрын
Chris Hardee True, but 15 L with a non-rebreather is a fair amount and it's best practice to check O2 sats before supp. O2 :)
@puredemocrat55
9 жыл бұрын
Chris Hardee Probably not. But it can cause problems. Specifically in angina patients. If you give them too much oxygen, it may cause the nitrates to not work as effectively.
@svtkilr
6 жыл бұрын
Chris Hardee EXACTLY!!!!! My EMT-B teacher told us that all the time!
@tradermarty882
6 жыл бұрын
When the Pt awakens tell him why some guy is holding his head. Not just "you fell".
@Avamohr
9 жыл бұрын
I have a question, I saw an accident with 2 young females, they were on a scooter, with no helmets on, I was the first on scene, then someone who stated he had medical training took over, one of the females was unconscious, she had some blood coming from her mouth, he then just turned over over on her side. The question is, should he have turned her on her side, or is it better just to turn her head, the way he turned her, to me he had no medical experience. Thanks.
@brandonphillips6744
9 жыл бұрын
Yes. In this instance the patients airway would take priority if it is blocked with fluid. He rolled the patient on their side because by doing this it still kept the spine in line. By turning the head you move the spine (which is a 911-no-no) also, you can live with a spinal injury (in most cases) you CANT live without oxygen. This is why he rolled the patient on their side to clear the airway instead pf simply turning their head. Hope this helped. :) Ps. I am a certified first responder (volunteer fire-fighter)
@Madman6231
7 жыл бұрын
You're correct. It's called rescue position.
@lvntravels
7 жыл бұрын
Why would you require a nonbreather at a 14 bpm a tad brady? Bp 116/80 N breathing and lungs are clear?
@abefromansausagekingofchic6480
7 жыл бұрын
Niki Gurle Because proctors want you to administer oxygen to literally every person in the simulation.
@jayduvde
7 жыл бұрын
He never measured the neck before applying the c-collar. I guess he got lucky that it fit properly!
@Polishpuppy189
9 жыл бұрын
you did what to the pulse ???
@brianmullally7955
4 жыл бұрын
Polishpuppy189 he obliterated the pulse... when you do BP it’s good to feel the pulse while inflating the cuff until you can’t feel it then go about the normal way of taking a BP
@arielchan2009
10 жыл бұрын
he put his stethoscope on the floor QQ
@amarchawake8364
10 жыл бұрын
Excelent vidieo
@tomquinn4063
6 жыл бұрын
Also you wouldn't be able to do a jaw thrust on a casualty who is conscious, and why would you put the casualty in a c-collar before checking for facial fracs, face grace might compromise the airway which will be fucked if your casualty is already in the c-collar.. that's why it's called a secondary survey not a 'I'll check it after preparing for evac' survey
@rhude22
9 жыл бұрын
sample history and baseline vitals should be done en route to hospital.
@kev9183
9 жыл бұрын
correct
@Wolfpack-ns5lo
6 жыл бұрын
Wait what does trauma mean?
@jeremilicata
8 жыл бұрын
checked for pedal pulses on the ankles?? hahah. love it tho
@PerxcyzYt915
3 жыл бұрын
I landed on my neck on trampoline got the wind knocked out of me and my neck hurt a lot but I did not go to the hospital or anything I could not live for a second
@PerxcyzYt915
3 жыл бұрын
Move not live
@jtube8806
9 жыл бұрын
Great job! However: Scene Size-up BSI/PPE [check] Scene safety [check] Number of patients [check] NOI/MOI [check] Standard precautions [missed] Additional resources [check] Consider C-spine injury [check] *Although the bystander should have been given more instruction, i.e., not to move and secure elbows on the ground, despite discomfort. If the head stabilizer is moved, the patient's head can turn unexpectedly. 6/7 -- Well done. Primary Assessment General impression [missed] *One male in his [age] laying supine who appears to be unresponsive. AVPU [check] Airway (modified jaw-thrust, patient?) [check] Breathing (RRQ of respirations + mid-axillaries (additional four if irregular) + apply O2) Circulation (Skin + RRQ of radial pulse (responsive) + capillary refill) The SAMPLE questioning during the treatment was a good idea. Why not kill two birds with one stone, right? The additional vitals, however, could've been taken en route to the hospital and the stage at which the rapid scan was performed threw me off a bit. Overall, he did a bang-up job! I'd say this student is well on his way. Kudos!
@mericanbadaz1483
9 жыл бұрын
Fire Rabbit buff
@jonathanrios4366
5 жыл бұрын
He Didn’t initiate transport before history (miss)
@clairewalsh4476
8 жыл бұрын
No way would i ever get someone to take away C spine thats crazy!!!!
@roberthicks8835
7 жыл бұрын
he took away C spine because he was already spider strapped to the board and on the bus on his way to the hospital
@vishalvishnusaikia4042
5 жыл бұрын
Very good
@sambrooksmed9068
8 жыл бұрын
lol if i was being critical, LOOK AT THE PATIENTS FACE WHEN DOING HEAD TO TOE ASSESEMENT. In many cases, especially lowered GCS, the patient will not say 'oh my leg fucking hurts' they will wince and make a face.... when palpating the abdo for instance, look at the face for clues... if your c spine holder is a medic, he/she can do that for u
@fjangokoop2235
9 жыл бұрын
We can conclude that he is lying on the floor.
@RigobertoTejeda
10 жыл бұрын
niceley done
@marcyparcy3280
6 жыл бұрын
C collar very important
@The_Sass_Monster
5 жыл бұрын
You skipped General impression, didnt say chief complain or if you saw any apparent life threats, ABC's were rushed through, did start shock management, didnt say if it was high or low priority transport when appropriate, asked a run down version of the OPQRST/SAMPLE which couldve been done in the ambulance, should've loaded and went after you bandaged the wound. Once instead you couldve did a full assessment during the secondary assessment then obtain baseline vital, then manage wounds and reasses and recheck vitals. This was all over the place lol someone would def fail their NREMT watching this ;D
@ashleyandrews2591
9 жыл бұрын
Wouldn't it be a critical fail, without measuring the size of the cervical collar before applying it on.
@roberthicks8835
7 жыл бұрын
excepted he did. c spine was held until long board was finished and he was on transport 8:05
@nnkeyes
10 жыл бұрын
omg stahp!
@lonelyglader8154
4 жыл бұрын
Stop what
@rhajibasadil2944
8 жыл бұрын
sorry, but is that how you suppose to sit as you say "can u hear me"? you could actually inflict more damage to the patient. :)
@shanaencarnacion2985
6 жыл бұрын
Young Ma Lu Lu
@ryleeroyce6387
6 жыл бұрын
He did not measure thr collar to the patient
@joshzaret8332
7 жыл бұрын
name and age of pt?
@roberthicks8835
7 жыл бұрын
you do not say the name over the radio because it is an unsecure line and could be listened in on by others.
@joshzaret8332
7 жыл бұрын
Well duh but he didn't get the name of the pt at any time during the assessment. It's still critical to get that information even if you're not giving it in your report.
@maxwellssilverhammer
8 жыл бұрын
BSI SCENE SAFE!
@lvntravels
7 жыл бұрын
BrendanMaxwellMusic bsi?
@maxwellssilverhammer
7 жыл бұрын
Body Substance Isolation
@joeswiderski6866
6 жыл бұрын
He did it in the beginning of the video
@calikid4253
9 жыл бұрын
You shouldn't have him move the foot up and down on the injured leg you can cause further damage, just check for pulse and ask if he can move his toes
@elijahblackford7018
8 жыл бұрын
+Medic83301 not with a potential fracture, motor would be wiggling toes lol
@MrClaudner305
10 жыл бұрын
he missed alot of stuff........
@JamieDikih
10 жыл бұрын
not for an emt-b test.
@luciasantiago2274
Жыл бұрын
Pedro
@susanabojorquez6308
8 жыл бұрын
#Taufiq Shah hey ,if anyone else wants to learn about emt final study guide try Skyarza Medic Study Star (just google it ) ? Ive heard some amazing things about it and my partner got amazing results with it.
@E6ABHnavy
7 жыл бұрын
Not to be critical, he just noticed blood and immediately lifted the leg without checking to see if it was fractured or not...
@TheMarried123
7 жыл бұрын
Cap refill not so reliable over 5 yrs of age.
@werfner
10 жыл бұрын
Oops too long
@junebug9594
8 жыл бұрын
Do you even know what obliterated means?
@noname-ip4rx
7 жыл бұрын
junebug9594
@noname-ip4rx
7 жыл бұрын
junebug9594
@marcyparcy3280
6 жыл бұрын
junebug9594 he said it as i read it lol
@witch_hour7042
6 жыл бұрын
All I can assume he meant is while taking the blood pressure the radial pulse will stop once you get the cuff inflated. Obliterated means to completely wipe out a trace of something. So if I was Palpatine a systolic pressure I would Obliterate the radial pulse then as I deflated the cuff when I feel it again I get my systolic pressure. Had to be what he was getting at lol
@tomquinn4063
6 жыл бұрын
Did he seriously just measure that pulse for a full minute rather than 15sec x4 😂 Also his patient empathy is awful!! There is a distinct lack of communication between this medic and his patient, awful!! Also he seems edgy and nervous, which I wouldn't appreciate
@sophieroyle5344
9 жыл бұрын
that leg that's bleeding isnt real if u look its fake
@91blackR
8 жыл бұрын
Naaa really. All along i thought it was real. Lol. It's just an act
@brittrugg2676
8 жыл бұрын
Ummm...duh
@fourdragonv2
8 жыл бұрын
Nine years of high school, right down the drain.
@andrewpine2305
8 жыл бұрын
+Sophie Royle You don't even have to look. This is a TRAINING VIDEO............... i can't imagine my country is in the hands of a voter like you
@TheRamos53
7 жыл бұрын
you went out of order
@amarchawake8364
10 жыл бұрын
Excelent vidieo
@rhajibasadil2944
8 жыл бұрын
sorry, but is that how you suppose to sit as you say "can u hear me"? you could actually inflict more damage to the patient. :)
Пікірлер: 117